Validation of a Midwifery Model in Palestine 1
- Conditions
- Maternal Health
- Interventions
- Procedure: Continuity of midwifery care
- Registration Number
- NCT03145571
- Lead Sponsor
- Oslo University Hospital
- Brief Summary
To validate a model of Continuity of Midwifery Care implemented in the region of Nabuls and Jericho in Palestine in 2013, register data from the Palestinian Ministry of Health will be analyzed for the following indicators related to usage and quality.
Changes in these variables before and after the implementation will be compared between the 16 clinics where the model was implemented and all comparable clinics in the region.
- Detailed Description
In 2013 a program for continuity of midwifery care (midwives at the local hospital provided ante- and post natal care i clinics located in rural villages) in the region Nablus and Jericho on the West Bank, Palestine. By the end of 2013, the model was implemented in 16 of a total of 53 clinics in the region. In order to compare the impact of the continuity of midwifery care on changes in usage of pre- and postnatal services and quality of care, registry data will be obtained from all clinics two years before the implementation (2011-2012) and for two years after the implementation (2014-2015). The following indicators will be compared between the 16 clinics where the program was implemented and comparable clinics where the program has not yet been implemented:
1. Mean number of antenatal visits per woman (Usage primary outcome)
2. Proportion of total pregnant women that visited the clinic (Usage secondary outcome))
3. Percentage of pregnant referred to higher level of care (Quality primary outcome)
4. Percentage of women referred for high blood sugar levels (Quality secondary outcome)
5. Percentage of women receiving postnatal home visits (Quality primary outcome)
6. Proportion of women seen by doctor after birth (Quality secondary outcome)
7. Proportion of newborns seen by doctor after birth (Quality secondary outcome)
8. Total number of consultations for mother and child after birth (Usage secondary outcome)
All data will be obtained from the monthly statistical reports sent from the clinics to the Palestinian Ministry of health.
Data sources, statistical procedures, power and sample size:
The governmental registry includes data from two years before and two years after the implementation. The registry consists of unidentifiable recordings reported monthly from all clinics to the central statistical database in the Ministry of Health. A copy of the heath authority registry was obtained for statistical analysis.
Descriptive and inferential statistics will be used to analyse collected quantitative data. Data will be registered and analysed using the computer statistical package SPSS version 21 and STATA. Prior to analysis all variables will be checked for data file errors.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 5760
Not provided
- Clinics located in urban areas (less than three km from Nablus or Jericho city centre).
- New Clinics that has not been open during the whole study period.
- Clinics were the intervention was only partially implemented
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Continuity of midwifery care Continuity of midwifery care Clinics where the continuity of midwifery care program was implemented during 2013
- Primary Outcome Measures
Name Time Method Antenatal visits 0-9 months before delivery Mean number of antenatal visits in the clinic per woman
- Secondary Outcome Measures
Name Time Method Referral 0-12 months after delivery Percentage of pregnant referred to higher level of care
Home visits 0-12 months after delivery Percentage of women receiving postnatal home visits